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Medical billing company · Headquartered in Austin, TX

Medical Billing Services That Get Your Practice Paid Faster

Our medical billing services cover eligibility, claims, denials and collections for practices in all 50 states. You get paid faster, and your staff stays focused on patients.

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HIPAA-compliant

49+ specialties

Serving all 50 states

Free billing consultation with a Prime Medical Revenue specialist

Free practice consultation

(512) 355-5735

No software switch needed. Our billing teams already work in multiple billing software.

What we handle

Medical Billing Services We Handle From Start to Finish

Hand us the full cycle or a single function. Either way, each piece connects to the next, so nothing stalls between hand-offs.

01

services revenue cycle management

Revenue Cycle Management

One accountable team manages every claim from the eligibility check to the final payment, with reporting you can actually read.

Eligibility

Claims

Posting

Denials

Reporting

Learn more about RCM

02

services eligibility benefits verification

Eligibility & Benefits Verification

Coverage, copays and authorization needs are confirmed before the patient arrives.

Learn more

03

services medical claim submission

Electronic & Manual Claim Submission

Charges are checked against payer rules and filed promptly, electronically or on paper.

Learn more

04

services credentialing enrollments

Credentialing & Enrollments

Provider records, payer applications and follow-ups stay organized, so you can bill sooner.

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05

services denial management prevention

Denial Management & Prevention

Every denial is worked, appealed within filing limits and traced to its root cause.

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06

services payment posting

Payment Posting

ERAs and checks are posted and reconciled against the original charge.

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07

services medical billing audit

Medical Billing Audit

Coding, documentation and payer performance are reviewed to find the revenue you're missing.

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In-house or outsourced

In-House Billing vs. Outsourcing: What Changes

Practice manager reviewing a billing report in a calm clinic

Keeping billing in-house means hiring and training billers, paying for software and clearinghouse fees, and covering the desk when someone is out. Outsourcing moves that work to a team that bills every day.

In-house billing
Prime Medical RevenueRecommended
Staffing

Hire, train and replace billers yourself

Staffing

A billing team covers your claims every day

Software

Often tied to one biller’s setup

Software

We work in your EMR, PM system and clearinghouse

Denials

Worked when there is time

Denials

Worked first and traced to the root cause

Payer rules

Learned claim by claim

Payer rules

Tracked for Medicare, Medicaid and commercial payers

Reporting

Informal or on request

Reporting

Weekly or monthly reports on filed, paid and open claims

Not ready to hand over everything? Start with one service, such as credentialing or denial management, or read how we outsource medical billing services end to end.

How it works

How Our Billing Process Works

Five connected steps, run by one team. Each one sets up the next so claims move and cash comes in.

Checking patient insurance coverage before a visit

1

Confirm coverage up front

Eligibility and benefits are verified before each visit, so every claim starts clean.

Clean claim ready for electronic submission

2

File claims that pass the first time

Charges are checked against payer rules, then submitted electronically or manually.

Insurance payments posted to patient accounts

3

Post every payment accurately

ERAs and checks are posted and matched to the original charge.

Denied claim traced to its root cause

4

Work denials before they age

Denials get first priority, and corrected claims go back out within filing limits.

Weekly billing report for a medical practice

5

Report back, week after week

Weekly or monthly reports show what was filed, what was paid and what's still open.

Why it matters

Why So Many Claims Get Denied

Denials are common and expensive. In a Premier Inc. survey, nearly 15% of claims sent to private payers were denied at first. More than half of those, 54.3%, were later overturned and paid, and fighting each one cost an average of $43.84.

On HealthCare.gov plans, insurers denied 19% of in-network claims in 2024, and fewer than 1% of those denials were appealed, according to KFF. Money left on unworked denials is simply lost.

  • Coverage problems. Inactive plans, wrong member IDs and missing authorizations. We verify eligibility before the visit.
  • Coding and modifier errors. Codes that do not match or are bundled away. We review charges before billing.
  • Missed deadlines. Claims filed or appealed too late. We track filing limits on every claim.

Sources: Premier Inc. and KFF.

Prime Medical Revenue billing specialist reviewing practice performance with a physician
Billing report showing filed, paid and open claims

Weekly or monthly reports, emailed straight to your office

Why Prime Medical Revenue

A Medical Billing Company Built Around Your Practice

As a medical billing company, we keep your fee schedules current with CMS guidelines, work inside your existing systems and show you exactly what is happening with every claim.

Billing team working inside the practice EMR system

Keep your current software

No forced switch. Our teams already bill in multiple billing software, and with any clearinghouse.

Billing report showing filed, paid and open claims

Transparency by default

Regular reports show what we filed and what you received. No guessing.

Denied claims being reviewed and appealed

Denials come first

Denials are worked as a priority, which keeps A/R under control and cash moving.

Specialty coverage across 49+ medical specialties

Specialty-aware billing

From primary care to surgery, we bill for 49+ specialties and know their payer rules.

Talk to a Billing Specialist
Who we help

Billing Support for Every Kind of Practice

From solo providers to multi-location groups, the same accountable team handles your claims. Here is who we work with most.

icon small practice

Solo and small practices

Affordable, hands-on billing without hiring a full billing department. See billing for small practices.

icon multi location

Multi-location groups

One billing process across every site, with reports you can compare by location.

Specialty coverage across 49+ medical specialties

Specialty practices

Coding, modifiers and authorizations handled by billers who know your specialty.

Behavioral Health practice

Behavioral health

Therapy, psychiatry and ABA claims, including telehealth. See mental health billing.

Urgent care centers

Urgent care clinics

High claim volume with eligibility checked at check-in and fast follow-up.

icon new practice

New practices

Credentialing and payer enrollment first, then clean billing from the first visit.

49+

Medical specialties billed

24/7

Open 7 days a week

15

Billing & RCM services

50

States served nationwide

Specialties we serve

Physician Billing Services for 49+ Specialties

Our physician billing services cover cardiology to behavioral health. Your claims are handled by billers who know your specialty’s codes, modifiers and payer rules.

Cardiology practice

Cardiology

 Internal Medicine practice

Internal Medicine

 Family Medicine practice

Family Medicine

 Behavioral Health practice

Behavioral Health

 Orthopedics practice

Orthopedics

 Pediatric practice

Pediatrics

 OB-GYN practice

OB/GYN

 Gastroenterology practice

Gastroenterology

 Dermatology practice

Dermatology

 Urgent Care practice

Urgent Care

Don't see yours? We likely bill for it.

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Where we work

Headquartered in Austin, Serving Practices Across Texas and the USA

Our Austin team provides medical billing to practices in all 50 states, with dedicated local support in Austin, Houston and Dallas.

Prime Medical Revenue headquarters area in Austin, Texas

01

Headquarters

Austin, Texas

5900 Balcones Drive STE 100, Austin, TX 78731

Explore Austin

 Medical billing services for Houston practices

02

Gulf Coast

Houston, Texas

Explore Houston

 Medical billing services for Dallas practices

03

North Texas

Dallas, Texas

Explore Dallas

 Remote medical billing team supporting practices nationwide

04

Remote partnership

Nationwide

See states we serve

Outside Texas? See the states we serve

Client reviews

What practices say about us

Sample review: "Our claims go out clean and denials are worked the same week. The monthly report finally shows us where every dollar stands."

SR

Sample Reviewer

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Sample review: "They work inside our existing EMR, so nothing changed for our front desk. Collections improved within the first few months."

SR

Sample Reviewer

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Sample review: "Credentialing for our new provider was handled start to finish. We always know who to call and get a straight answer."

SR

Sample Reviewer

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Common questions

Answers Before You Make the Switch

Short answers to what practices ask us most. The full list is on our FAQ page.

See all FAQs

Still have a question?

Talk to a billing specialist. The consultation is free.

(512) 355-5735

Prime Medical Revenue is a medical billing company headquartered in Austin, Texas, serving practices across the USA with value-added billing services across 49+ specialties at an affordable price. We act as a one-stop shop for your practice's billing and revenue cycle.

No. Our specialized billing teams have experience working in many different software systems, so you can keep the one you use today.

Yes. Our billing staff handles the full revenue cycle and gives denials first priority, so corrected claims are resubmitted on time and payment comes in sooner. Addressing denials promptly and fixing their causes keeps A/R under control.

Transparency is our core value. We email your office weekly or monthly reports, giving you a complete picture of what we have filed and what has been received.

Most medical billing companies charge a percentage of what they collect or a flat fee per claim. The right model depends on your claim volume, specialty and payer mix. We offer value-added billing at an affordable price and give you a quote after a free consultation.

Yes. Our billing is HIPAA-compliant, and we work inside your own systems rather than copying patient data into new ones.

Yes. We work with solo providers and small clinics as well as larger groups. You can start with one service and add more as you grow.

We review your open A/R first, keep older claims moving while new claims start, and agree on what we take over before day one.

Get in touch

Talk to a billing specialist

Tell us about your practice. A billing specialist will get back to you within one business day.

(512) 355-5735

info@primemedicalrevenue.com

5900 Balcones Drive STE 100, Austin, TX 78731

Open 24 hours, 7 days a week

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Ready for Medical Billing Services That Pay You Faster?

Tell us about your practice. We will show you where revenue is slipping and how we would fix it. The consultation is free.

Get a Free Consultation (512) 355-5735